Cutaneous disease and alcohol misuse

Higgins, E. M.; Vivier, Anthony du

doi:10.1093/oxfordjournals.bmb.a072887

Cited by 85 publications

(68 citation statements)

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“…Drinking is a recognised stress response and it has been argued that alcohol misuse is a consequence of the stress, rather than being causally related. 9,10 Examination of the temporal relationship between alcohol misuse and the onset of disorder, shows that it is alcohol which provokes psoriasis. Abstinence has been observed to produce clinical improvement.…”

Section: Discussionmentioning

confidence: 99%

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Cutaneous manifestations of chronic alcoholism: a cross sectional study in a tertiary care centre in South India

2016

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Background: Alcoholism is a chronic fatal disease of worldwide concern. Alcohol abuse can present in a variety of ways, and dermatological disease is emerging as an important marker of alcohol misuse. The aim is to find out the various skin manifestations associated in chronic alcoholics, to find out the most common skin manifestations among chronic alcoholics and to identify the early skin changes in chronic alcoholics.Methods: A cross sectional study conducted in patients attending medicine, psychiatry and dermatology clinics at a tertiary care centre, Puducherry. Inclusion criteria were patients with history of chronic alcoholism, aged above 18 years. After obtaining history, cutaneous examination was done including skin, mucosa, hairs, and nails. Alcohol dependency pattern was calculated using short alcohol dependency score (SADD).Results: A total of 130 patients were included. All were male and 59.2% of them belonged to high dependency pattern. About 128 of them had dermatological manifestations pityriasis versicolor was the most common dermatoses followed by psoriasis. Alcohol specific dermatoses were not seen in our study.Conclusions: In our study, 98.4% of alcoholics had skin manifestations, of which cutaneous infections were the most common.

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Section: Discussionmentioning

confidence: 99%

“…Abstinence has been observed to produce clinical improvement. 9 Thus, to conclude, alcoholism is a social disease with wide ramifications. The dermatoses in alcohol dependant patients are varied.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous manifestations of chronic alcoholism: a cross sectional study in a tertiary care centre in South India

2016

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“…Literature has documented psychological intervention for a number of cutanoeus conditions such as vitiligo, psoriasis, acne vulgaris and, atopic dermatitis, which have been suggested to be as effective for each of these types of disorder as classical medical therapeutic process (Van Moffaert, 1992;Higgins & Du Viver, 1994). In our study we found positive correlation between psychological intervention (psychoanalytical psychotherapy and cognitive behavioural therapy) and dermatological disorders such as acne vulgaris, atopic dermatitis, lichen planus, psoriasis, chronic urticaria and viral infections which includes facial/genital warts.…”

Section: Discussionmentioning

confidence: 99%

The Adjunctive Impact of Counselling in Management of Dermatological Patients: Tertiary Hospital Experience

Ukonu

Ezechukwu

2014

IJPS

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BackgroundThe skin as one of the largest organs in the body mirrors our emotion. Exhaustive inquiry of a dermatology patients' life experience might help to provide insight and understanding to coping and the need for psychological counselling which might help in long term remission of such dermatoses. Methods and MaterialsThis interventional study was carried out on newly diagnosed dermatology subjects from September 2012 to February 2014. Within this period, subjects who met the inclusion criteria for the study were recruited into the study by the researchers. The diagnoses of the skin deramtoses were made and some confirmed by histology were necessary.Each of the subjects was administered a self-evaluation structured questionnaire after thorough explanation and consent to participate in the study was obtained. Their psychological morbidity was noted and thirty (30) minutes to Sixty (60) minutes counselling session conducted for each subject. ResultsA total number of 2,340 dermatological patients were seen out of which 930 were newly diagnosed dermatological cases. Two hundred and forty six (246) who met the inclusion criteria for the study were recruited. These comprised 155 (63.0%) females and 91 (37.0%) males. Their age ranges from 15years to 70years with a mean age and standard deviation of 31.6years ± 11.2 respectively. Subjects who were students with higher educational degree suffered more psychological morbidity or distress. However, there was statistically significant reduction on the impact of their psychological morbidity after few sessions of counselling which comprised psychoanalytical psychotherapy and cognitive behavioural therapy.In conclusion, there was a significant psychological morbidity among dermatological patients. Imperatively, a well articulated and integrated psychotherapy and cognitive behavioural therapy would be of immense benefits to dermatology patients apart from administration and usage of drugs.

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“…In one study, there was an 18% prevalence of alcoholism in patients with psoriasis compared to 2% among dermatologic controls [60]. Several studies have shown that treatment outcomes are worse in heavy drinkers [62][63][64]. Abstinence alone has been shown to possibly induce psoriasis remission, whereas restarting drinking may cause disease relapse [62,65].…”

Section: Psoriatic Arthritismentioning

confidence: 99%